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Topical NSAID (ophthalmic)

Nepafenac

Brand names: Nevanac

Adult dose

Dose: 1 drop TDS to operative eye, starting 1 day before surgery, continuing 14 days post-op (cataract)

Route: Topical (ophthalmic)

Frequency: TDS

Clinical pearls

Prevention of post-cataract pain/inflammation and macular oedema

Contraindications

Aspirin/NSAID hypersensitivity
Ocular epithelial defect (caution)
Late pregnancy

Side effects

Stinging
Corneal melt (rare with prolonged use)
Delayed wound healing

Interactions

Other topical NSAIDs

Reference: BNF; RCOphth; https://bnf.nice.org.uk/drugs/nepafenac/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.

Pathways